European eating disorders review : the journal of the Eating Disorders Association · 2025
User Experience and Therapeutic Alliance of Treatment Completers of Clinician-Supported Versus Self-Help Online Intervention for Eating Disorders: A Mixed Methods Approach.
СтатьяРандомизированное исследованиеНазвание и аннотация: Перевод в очереди
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Barakat Sarah, Rom Sean, Kim Marcellinus, Aouad Phillip, Maguire Sarah
Аннотация
BACKGROUND: Poor rates of retention associated with digital interventions necessitate understanding of factors influencing engagement. This study presents a secondary analysis of a three-arm, randomised controlled trial of an online self-help treatment for bulimia nervosa (clinician-supported, self-help and waitlist control).
AIMS: The study aimed to understand the effect of added clinician-support, or lack of support, upon user experience and therapeutic alliance.
METHOD: At post-treatment, 61 participants completed a battery of self-report questionnaires assessing user experience and therapeutic alliance. Data were analysed using mixed methods (regression and thematic analyses).
RESULTS: Quantitative analyses indicated clinician-supported participants reported higher levels of treatment satisfaction and therapeutic alliance, however differences were not significant after controlling for covariates. Intervention effectiveness ratings were positively associated with post-treatment reductions in binge episodes and eating disorder psychopathology. Qualitative data were organised into four themes: (1) human support, (2) content, structure and digital set up, (3) process of therapeutic change and (4) positive feedback.
CONCLUSIONS: Overall, the intervention was found to have positive ratings of user experience and therapeutic alliance in both supported and unsupported versions. The qualitative analyses revealed a strong preference for human support. The findings shed light on the complex interactions between digital and human elements of blended treatment delivery.
TRIAL REGISTRATION: The trial was pre-registered with the Australia New Zealand Clinical Trials Registry (ACTRN12619000123145p).
AIMS: The study aimed to understand the effect of added clinician-support, or lack of support, upon user experience and therapeutic alliance.
METHOD: At post-treatment, 61 participants completed a battery of self-report questionnaires assessing user experience and therapeutic alliance. Data were analysed using mixed methods (regression and thematic analyses).
RESULTS: Quantitative analyses indicated clinician-supported participants reported higher levels of treatment satisfaction and therapeutic alliance, however differences were not significant after controlling for covariates. Intervention effectiveness ratings were positively associated with post-treatment reductions in binge episodes and eating disorder psychopathology. Qualitative data were organised into four themes: (1) human support, (2) content, structure and digital set up, (3) process of therapeutic change and (4) positive feedback.
CONCLUSIONS: Overall, the intervention was found to have positive ratings of user experience and therapeutic alliance in both supported and unsupported versions. The qualitative analyses revealed a strong preference for human support. The findings shed light on the complex interactions between digital and human elements of blended treatment delivery.
TRIAL REGISTRATION: The trial was pre-registered with the Australia New Zealand Clinical Trials Registry (ACTRN12619000123145p).